| Allen Dental Corportation | |
|
3686 Riverside Dr Ste G Chino CA 91710-2979 | |
| (909) 591-1299 | |
| (909) 591-5899 |
| Full Name | Allen Dental Corportation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3686 Riverside Dr, Chino, California |
| Authorized Official Name and Position | Rosalinda Allen (OWNER) |
| Authorized Official Contact | 9095911299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allen Dental Corportation 3686 Riverside Dr Ste G Chino CA 91710-2979 Ph: (909) 591-1299 | Allen Dental Corportation 3686 Riverside Dr Ste G Chino CA 91710-2979 Ph: (909) 591-1299 |
| NPI Number | 1104008721 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 12/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104008721 | NPI | - | NPPES |
| G93949-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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